Graduated: 2020
NPI: 1053948604
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6041 CADILLAC AVE
LOS ANGELES, CA 900341702
8009548000
CEP AMERICA - CALIFORNIA
4445 MAGNOLIA AVE
RIVERSIDE, CA 925014135
9517883000
Source: CMS National Downloadable File, September 2026.